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Clear as day... TURN PLASTY

Posted By: OP ... on 2006-02-15
In Reply to: A turn plasty.. Anybody know what - TIA

Subject: Clear as day... TURN PLASTY

I tried and tired to hear something different, but its pretty clear.. THANKS To YOU BOTH


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A turn plasty.. Anybody know what
Subject: A turn plasty.. Anybody know what

Its on a breast cancer patient dictated by Plastic Surgeon.  The sentence:  The patient had a turn plasty by Dr. --     The wound is not healing........
'Z-o--plasty"
Subject: 'Z-o--plasty"

sounds like "z-o-plasty" on her right neck???


Any ideas?Thanks!


 


plasty?
Subject: plasty?

coule it be with plasty or laxity?
Z-plasty on eMedicine
Subject: Z-plasty on eMedicine

Current surgical options include steroid injections, scar lysis with CO2 laser or plasma hook, skin grafts, Z-plasty repair, various local mucosal flaps, insertion of prosthetic stents, silastic grommets, nasopharyngeal obturators, and topical application of mitomycin C.

http://www.emedicine.com/ent/topic336.htm
s/l ponos plasty
Subject: s/l ponos plasty

Sentence: Right thumb Huber transfer (ponos plasty).
Could it be a TRAM-flap plasty?
Subject: Could it be a TRAM-flap plasty?

nm
RP=reduction plasty...ESL being redundant...? nm
Subject: RP=reduction plasty...ESL being redundant...? nm


There is Z-plasty for scar revision during surgery? NM
Subject: There is Z-plasty for scar revision during surgery? NM

nm
I have Z-plasty in my Stedman's plastic surgery book nm
Subject: I have Z-plasty in my Stedman's plastic surgery book nm


I had to turn this in already....SM
Subject: I had to turn this in already....SM

Hi,

My QA person marked only 7 items tramscribed wrong--don't know how that could be, but I'm not gonna' argue with her, lol.

Two of the dictators were ESL's, which didn't help matters. But it turns out that my 3rd was an absolute dreaaaaam boat of a dictator, almost made me want to tough it out and do more ops...probably NOT.

Thanks for all your attempts to help and give support regardless.

--ALS



Yeah, my manager and I are going to have to chat today without a doubt.
I had to turn it in. Thanks anyway!
Subject: I had to turn it in. Thanks anyway!

x
my turn for help please
Subject: my turn for help please

MD states: "a patient who presented with dehydration, (s/l annonition), fatigue and weaness. Thanks in advance...
My turn - help please with med.
Subject: My turn - help please with med.

Says clearly under a list of about 1000 medications s/l zenapril 2.5 mg once a day? Thanks folks ... I'm tired
Can someone tell me how to turn off whatever...sm
Subject: Can someone tell me how to turn off whatever...sm

it is I turned on in Word.  It now shows all the backward "P's" for every paragraph and there is a dot everywhere I hit the spacebar.  I used to know how to turn this off but I don't remember.  Thanks. 
My turn...Lab help please
Subject: My turn...Lab help please

Sentence reads:

Smear was reviewed and showed macrocytes, occasional macrocytic cells, but not hyperchromic, occasional basophilic stippling, a few polys with 4-5 lobes but none with more than 5 lobes and less than 20% has 5 lobes, no granulation of her polys, no S/L Pelletier-Hewett cells?


She is talking like her pants are on fire, so it is hard to decipher any of this...


Thank you


It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(


It's your turn to educate QA
on page 776 of Stedman's Surgery Words, 2nd edition, under Toldt, is white line of... QA affects your record with the company, not to mention the principal involved -- i would send QA the info (being professional of course) with a blind cc to the MT mgr or someone else.
TOT can also mean turn around time.
Subject: TOT can also mean turn around time.

x
TAT is turn-around time.
Subject: TAT is turn-around time.

x
Thanks. I had to turn it in flagged.
Subject: Thanks. I had to turn it in flagged.

But I'll save the word for next time.
I am stuck on this question and have no where else to turn
Subject: I am stuck on this question and have no where else to turn

X-ray with and without ________ does show some ______ under the diaphragm.
probably turn-back maneuver
Subject: probably turn-back maneuver

The cystoscope goes up in the bladder and "turns back" to look at the bladder neck. He may be making the term up but it makes logical sense.
s/l finger turn technique
Subject: s/l finger turn technique

C section incision extended laterally with s/l finger turn technique
just go into control panel and turn all the sounds off, that is what i did.
Subject: just go into control panel and turn all the sounds off, that is what i did.

x
sorry - ostial - hate when I turn off my expansion
Subject: sorry - ostial - hate when I turn off my expansion

x
Thank you... my brain finally decided to turn on now that I am done.
Subject: Thank you... my brain finally decided to turn on now that I am done.


Yes they turn the baby from breech to vertex
Subject: Yes they turn the baby from breech to vertex


Never heard it, but could it be a twist-turn technique? n/m
Subject: Never heard it, but could it be a twist-turn technique? n/m

X
I had to turn it in with a blank, although I looked in Stedman's before and could not match the s
Subject: I had to turn it in with a blank, although I looked in Stedman's before and could not match the sound with anything listed.


Need help with terminology. Please sm - need to turn report in ASAP. Help is appreciated.
Subject: Need help with terminology. Please sm - need to turn report in ASAP. Help is appreciated.

The patient was referred for a left thyroidectomy  which showed benign, hyperplastic follicular nodules, s/l mild field of focali, moderate chronic thyroiditis with focal Hurthle cell metaplasia consistent with Hashimoto’s thyroiditis.


Does the mild field of focali make sense??  He is difficult to understand.  Thank you in advance.


I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!
Subject: I guess it could be intravenous, but I'll turn in a blank rather than guess. Thanks!!!


just to be clear...
Subject: just to be clear...

I just want to be sure about whether since she specified it is left side only that extensor hallucis "is" and not extensor hallucis "are". If she said bilateral then it would read extensor hallucis are 4+/5 -- am I getting that part correct? TIA
To be clear?
Subject: To be clear?

Hallucis IS.......halluces ARE. You will know when she is talking about a different side or bilateral. Don't over-think your dictator, okay? I'm thinking you may be new (I hope) and these things will become more clear as you go.

I know you're trying to get it perfect, but she knows what she's doing with the foot/feet. :)
it is very clear
Subject: it is very clear

She keeps referring to white matter abnormalities with signal loss and T2 prolongation through the entire report, so I am thinking leuko (white) something....no idea
I wish...but it's very clear. Thanks
Subject: I wish...but it's very clear. Thanks


Just to be clear
Subject: Just to be clear

My "duh" in the other post was for ME, not you. Didn't want any misunderstanding. Thanks for your help!
Clear? Nm
Subject: Clear? Nm

nm
Yes, it is clear. Thank you!
Subject: Yes, it is clear. Thank you!

x
I think if it's not clear
Subject: I think if it's not clear

I would leave a blank, although it is probably hypocoagulable (my Stedman's oncology book has this word) and we used it in the lab, such as defective clotting with factor deficiences such as hemophilia, von Willebrand (which heavy menstrual flow can be a sign), low platelet count, ITP, liver disorders that affect vitamin K production, etc.  But it's really hard to say without knowing more about this patient because, if I can explain this right, there are conditions or situations that can cause hypercoagulable states that then use up all the clotting factors, etc., and then cause bleeding.  So really need to know more on what the patient's other symptoms, family history, etc. to be sure on something like this when you can't hear for sure, I think anyway.  Sorry for the long essay here, used to be one of my areas of interest a long time ago.  Once worked up a lady who had heavy, heavy vaginal bleeding after childbirth, was in really bad DIC, docs had a heck of a time saving her.  You can google on some of this if you're interested.
not clear
Subject: not clear

it is urine drug screen and delirium tremens but 17a not clear
tks... really not sure... the K is VERY clear.
Subject: tks... really not sure... the K is VERY clear.

could be s/l Akiva maybe, but it definitely is not a V at the beginning. Unless the doc is reading it wrong from paper... not sure.

Thanks for the input!
THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!
Subject: THANK YOU SO MUCH! That is it! It is so clear now...THANKS AGAIN!

nm
Everything else she said was so clear but I bet that is it! Thanks! nm
Subject: Everything else she said was so clear but I bet that is it! Thanks! nm


What is T1T? He is clear. thanks
Subject: What is T1T? He is clear. thanks


There is no evidence for ureteral obstruction. He may be a candidate for a minimal invasive therapy such as T1T or even laser prostatectomy.


I think the OP could have been a little more clear sm
Subject: I think the OP could have been a little more clear sm

in what they were asking, like perhaps given the whole sentence.  I assumed they were asking about a possessive but it could also be seen as asking about a pleural. 


doc is very clear. sm
Subject: doc is very clear. sm

he is spelling it out exactly like this "vobenzin", or could be "zobenzim"; and, "artron".  Definitely not Benzig and artane.  No mention of Parkinson's disease which Artane is used for, and doc is clearly not saying Artane.  I went to rxlist on Internet and nothing came up either!


to be more clear - s/m
Subject: to be more clear - s/m

i'm not questioning whether to hypen or use the word "and". What I'm questioning is can you use 2 different measurement systems for the same measurement - isn't the 3/8 referring to an inch? how do you have 157 cm and 3/8 of an inch?
it's very clear...
Subject: it's very clear...

He definitely says Levoryl (now that I know how to spell it).  :)  When I do a google search on Levoryl, there are only two pages that come up.  I can't find it in RxList.com.  Is it an old drug that doesn't exist anymore?
clear
Subject: clear

dd
Clear?
Subject: Clear?

Could it be "skin is clear?"
if its clear then why you asking?
Subject: if its clear then why you asking?

I love it when people ask and then argue.